Babban Tasirin COVID-19 Akan Marasa Lafiyar Koda Ta Amfani da Dialysis

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Gidauniyar Kidney Foundation (NKF) da Cibiyar Nazarin Nephrology ta Amurka (ASN) sun jaddada matsananciyar matsayar mutanen da ke fama da gazawar koda, wadanda ba su da rigakafi, ke fuskanta yayin da igiyar Omicron ta kwanan nan ke ci gaba da yaduwa tsakanin marasa lafiya da ma’aikata a wuraren wankin. Laifukan COVID-19 suna haifar da munanan rashin lafiya, suna tilasta gajerun lokutan jiyya ga marasa lafiya, da kuma ta'azzara ƙarancin ma'aikata da kayayyaki waɗanda ke hana samun wannan magani mai dorewa. Tasirin COVID-19 akan mutanen da ke fama da cututtukan koda ya haifar da raguwar farko a cikin adadin masu fama da cutar dialysis a cikin Amurka a cikin tarihin shekaru 50 na Shirin ESRD na Medicare.

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Karancin ma'aikata da wadatar kayayyaki sun kuma haifar da rufe wuraren aikin dialysis da koma baya wajen motsa marasa lafiya tsakanin dialysis, asibitoci, da Kayan aikin jinya (SNFs). Kodayake ba da damar yin amfani da dialysis a gida yana sauƙaƙe nisantar da jama'a kuma yana iya rage yawan ƙarancin ma'aikata, wannan yuwuwar maganin ba zai magance babbar matsalar ba. Ana buƙatar ɗaukar mataki na gaggawa don tabbatar da cewa wuraren aikin dialysis sun sami damar samun kayan aiki da ma'aikatan da ake buƙata.

NKF da ASN sun ba da shawarar tarayya, jihohi, da ƙananan hukumomi:

• Sa baki don magance matsalar wadatar kayayyaki (misali, dialysate concentrates) a wuraren aikin wanki saboda rashin ma'aikatan sito da manyan motoci.

• Rarraba manyan matakan rufe fuska, da gwamnati ta amince da su zuwa wuraren aikin wanki.

• Dakatar da wani tsari na yanzu na Cibiyoyin Kula da Medicare da Medicaid (CMS) na buƙatar amfani da sirinji na salin da aka cika, waɗanda ba sa samuwa a wasu wurare, har sai mummunan rikicin ya wuce.

• Karfafawa gwamnatocin jihohi da na tarayya damar ba da damar ma'aikatan jinya don ba da damar gudanar da ayyukan cikin gida, ba tare da la'akari da ko jihar karamar jiha ce ba, yayin wannan mummunan rikici.

Akwai mutane 783,000 a Amurka waɗanda ke fama da gazawar koda, kuma ƙasa da 500,000 daga cikin waɗannan mutane suna buƙatar dialysis mai dorewa da ake bayarwa a cibiyar wanzar da cutar sau uku a mako, sa'o'i huɗu a rana. A lokacin jiyya na dialysis, yawanci majiyyata suna zama kusa da sauran marasa lafiya da ma'aikata a cikin wuraren da ba koyaushe suke samun iska ba. Yawancin waɗannan marasa lafiya tsofaffi ne, masu ƙarancin kuɗi, kuma daga al'ummomin marasa galihu na tarihi, kuma galibi suna da yanayi marasa ƙarfi kamar ciwon sukari da cututtukan zuciya.

Duk da haɗin gwiwar ƙungiyoyin dialysis, likitocin nephrologists, da sauran likitocin don sassauta yaduwar ta, COVID-19 na ci gaba da yaɗuwa ta wuraren aikin wanki. Dangane da bayanai daga Tsarin Bayanai na Renal na Amurka, 15.8% na duk masu fama da cutar dialysis a Amurka sun yi kwangilar COVID-19 har zuwa ƙarshen 2020. A lokacin hunturu na 2020, mutuwar mako-mako sakamakon COVID-19 ya kai kusan 20. % kuma mace-macen shekara-shekara a lokacin 2020 ya kasance 18% sama da na 2019.1

Duk da yawan kamuwa da cutar da mace-mace, marasa lafiya na dialysis ba a ba su fifiko don samun damar yin rigakafi ba lokacin da alluran suka samu shekara guda da ta gabata ko da yake shaidun sun nuna cewa rigakafin rigakafin rigakafi ba shi da tushe a cikin marasa lafiya na dialysis. Bugu da ƙari, kodayake matakan rigakafin ƙwayoyin cuta suna raguwa da sauri a cikin marasa lafiya na dialysis fiye da na jama'a gabaɗaya, Hukumar Abinci da Magunguna (FDA) ko Cibiyar Kula da Cututtuka (CDC) ba ta ba da fifiko ga marasa lafiya na dialysis ba lokacin da aka amince da allurai na uku na rigakafin. a cikin watan Agusta.2 Bugu da kari, an kuma kebe majinyatan dialysis daga kungiyoyin da suka cancanci karbar maganin rigakafin dogon lokaci na rigakafin kamuwa da cutar SARS-CoV-2. A ƙarshe, Cibiyoyin Kiwon Lafiya na Ƙasa ba su sami tallafi don binciken COVID-19 don taimakawa mutanen da ke fama da cututtukan koda ko gazawa a cikin kowane fakitin agaji na bara.

Wani ƙalubale kuma shine rashin samun magungunan da suka dace ga mutanen da ke fama da gazawar koda. Yayin da magungunan da ke rage haɗarin COVID-19 ke fitowa, alamun yanzu sun keɓe mutanen da ke fama da gazawar koda saboda galibi ana cire waɗannan mutanen daga gwajin asibiti. Wannan al'ada ba ta dace ba. NKF da ASN suna roƙon masana'antun don tabbatar da cewa waɗannan samfuran sun haɗa da allurai don marasa lafiya da gazawar koda. Bugu da ari, muna roƙon FDA da ta gane raguwar rigakafi a cikin mutanen da aka yi wa alurar riga kafi tare da gazawar koda kuma tabbatar da an yarda da jiyya ta hanyar Izinin Amfani da Gaggawa (EUA) don marasa lafiya na rigakafi.

Kamar yadda Gwamnatin Biden ke siyan sabbin hanyoyin warkewa na COVID-19 don rarrabawa a cikin Amurka, yana da mahimmanci cewa an ba da fifiko ga marasa lafiya da ma'aikatan dialysis don samun dama. Rashin ba da fifiko ga marasa lafiya na dialysis don samun damar yin rigakafi a farkon wannan cutar yana da tasiri mai yawa akan asibitoci da mutuwa. Kada mu bar wannan kuskuren ya sake faruwa.

A ƙarshe, COVID-19 yana da alaƙa da babban haɗarin mummunan rauni na koda (AKI), har ma a cikin mutanen da ke da aikin koda, wanda ke haifar da mummunar rashin lafiya har ma da mutuwa, kuma galibi yana buƙatar dialysis da sauran nau'ikan maganin maye gurbin koda. Sau tari yayin bala'in, kuma, a lokacin aikin tiyatar Omicron na yanzu, asibitoci da yawa sun yi ƙoƙarin ba da wannan magani na ceton rai ga marasa lafiya saboda ƙarancin ma'aikatan da aka horar da su da kayayyaki.

Yana da mahimmanci cewa Amurka ta yi duk abin da za ta iya don shirya don ƙarin tiyata a cikin lamuran COVID-19 a nan gaba tare da hana mace-mace marasa amfani a tsakanin mutanenmu masu rauni. NKF da ASN a shirye suke don yin haɗin gwiwa tare da masu tsara manufofi da masana'antu don cimma wannan burin.

Gaskiyar Ciwon Koda

A Amurka, an kiyasta manya miliyan 37 suna da cutar koda, wanda kuma aka sani da cutar koda na yau da kullun (CKD) - kuma kusan kashi 90 cikin ɗari ba su san suna da ita ba. 1 cikin 3 manya a Amurka suna cikin haɗarin kamuwa da cutar koda. Abubuwan da ke haifar da cututtukan koda sun haɗa da: ciwon sukari, hawan jini, cututtukan zuciya, kiba, da tarihin iyali. Mutanen Baƙar fata/Baƙin Amurkawa, Hispanic/Latino, Ba'amurke Ba'amurke/'Yan Asalin Alaska, Ba'amurke Asiya, ko ƴan Asalin Hawai/Sauran Tsibirin Pacific suna cikin haɗarin haɓaka cutar. Baƙar fata/Baƙin Amurkawa sun fi sau 3 fiye da fararen fata suna fama da gazawar koda. Mutanen Hispanic/Latinos suna da yuwuwar sau 1.3 fiye da waɗanda ba yan Hispaniya don samun gazawar koda.

Kimanin Amurkawa 785,000 suna fama da gazawar koda da ba za a iya jurewa ba kuma suna buƙatar dialysis ko dashen koda don tsira. Fiye da 555,000 na waɗannan majiyyatan suna karɓar dialysis don maye gurbin aikin koda kuma 230,000 suna rayuwa tare da dasawa. Kusan Amurkawa 100,000 ne ke cikin jerin masu jiran dashen koda a yanzu. Dangane da inda majiyyaci ke rayuwa, matsakaicin lokacin jira don dashen koda zai iya zuwa sama da shekaru uku zuwa bakwai.

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edita

Edita a shugaba na eTurboNew ita ce Linda Hohnholz. Ta dogara ne a HQ eTN a Honolulu, Hawaii.

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